Individual provider Active NPI

Cheryl A. Hefta, NP

  • Women's Health Nurse Practitioner
  • Fort Totten, ND
National Provider Identifier
1255448668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R19042 Issued in ND
Practice address
416 2ND Ave N
Fort Totten, ND 58335
Phone
(701) 766-1251
Fax
(701) 766-1260
NPI assigned
Aug 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R19042 ND Primary

Addresses

Primary practice location

416 2ND Ave N
Fort Totten, ND 58335

Mailing address

4507 Highway 20
Devils Lake, ND 58301-8518
Phone (701) 662-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100607000224 TX Practitioner - Nurse Practitioner 3971633660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spirit Lake TribeGroup PAC ID 2466550801, 22 clinicians

Practice addresses (Care Compare)

3883 74TH Ave NE
Spirit Lake Health Center
Fort Totten, ND 58335-0309
Phone (701) 766-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit Lake Tribe CurrentSince Aug 3, 2016 Accepting new patients
Spirit Lake Tribe Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chefta@slect.opdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255448668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 HIGHWAY 20",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583018518",
            "telephone_number": "701-662-2414",
            "fax_number": "701-766-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 2ND AVE N",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "58335",
            "telephone_number": "701-766-1251",
            "fax_number": "701-766-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFTA",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ND",
            "license": "R19042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Totten, ND

Sources for this page

Verify at the official NPI Registry.